Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15

Detalhes bibliográficos
Autor(a) principal: Seki, Liliane Miyuki
Data de Publicação: 2013
Outros Autores: Pereira, Polyana Silva, Conceição, Magda de Souza, Souza, Maria José, Marques, Elizabeth Andrade, Carballido, Jupira Miron, Carvalho, Maria Elisabeth Serqueira de, Assef, Ana Paula D’Alincourt Carvalho, Asensi, Marise Dutra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/11870
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
id CRUZ_3e684a2a7a489e06fd9afb5386a01d7b
oai_identifier_str oai:www.arca.fiocruz.br:icict/11870
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Seki, Liliane MiyukiPereira, Polyana SilvaConceição, Magda de SouzaSouza, Maria JoséMarques, Elizabeth AndradeCarballido, Jupira MironCarvalho, Maria Elisabeth Serqueira deAssef, Ana Paula D’Alincourt CarvalhoAsensi, Marise Dutra2015-10-02T12:45:06Z2015-10-02T12:45:06Z2013SEKI, Liliane Miyuki; et al. Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15. The Brazilian Journal of Infectious Diseases, v.17, n.6, p.640-646, 2013.1413-8670https://www.arca.fiocruz.br/handle/icict/1187010.1016/j.bjid.2013.03.012engElsevierMolecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Hospital Geral de Bonsucesso. Rio de Janeiro, RJ, Brasil.Hospital dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.Universidade Estadual do Rio de Janeiro (UERJ). Hospital Universitário Pedro Ernesto. Rio de Janeiro, RJ, Brasil.Universidade Federal Fluminense. Hospital Universitário Antônio Pedro. Niterói, RJ, Brasil.Hospital Naval Marcílio Dias. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.tObjective: The present study was designed to evaluate the molecular epidemiology of CTX-Mproducing Klebsiella pneumoniae, Enterobacter cloacae and Escherichia coli isolated from blood-stream infections at tertiary care hospitals in the State of Rio de Janeiro, Brazil.Material and methods: A total of 231 nonduplicate Enterobacteriaceae were isolated fromfive Brazilian hospitals between September 2007 and September 2008. The antimicrobialsusceptibility testing was performed by disk diffusion method according to the Clinical Lab-oratory Standard Institute. Isolates showing resistance to third-generation cephalosporinswere screened for ESBL activity by the double-disk synergy test. The presence of blaCTX-M,blaCTX-M-15and blaKPCgenes was determined by Polymerase Chain Reaction (PCR) amplifica-tion and DNA sequencing. The molecular typing of CTX-M producing isolates was performedby pulsed-field gel electrophoresis (PFGE).Results and discussion: Ninety-three isolates were screened as ESBL positive and 85 (91%)were found to carry CTX-M-type, as follows: K. pneumoniae 59 (49%), E. cloacae 15 (42%), andE. coli 11 (15%). Ten isolates resistant for carbapenems in K. pneumoniae were blaKPC-2genepositive. Among CTX-M type isolates, CTX-M-15 was predominant in more than 50% ofisolates for K. pneumoniae, E. coli, and E. cloacae. PFGE analysis of CTX-M producing isolatesshowed the predominance of CTX-M-15 in 10 of 24 pulsotypes in K. pneumoniae, 6 of 13 in E.cloacae and 3 of 6 in E. coli. CTX-M-15 was also predominant among KPC producing isolates. In conclusion, this study showed that CTX-M-15 was circulating in Rio de Janeiro state in 2007–2008. This data reinforce the need for continuing surveillance because this scenario may have changed over the years.EnterobacteriaceaeBloodstream infectionCTX-M-15PFGEKPCBrazilKlebsiella pneumoniaeEnterobacteriaceaeEscherichia coliinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1914https://www.arca.fiocruz.br/bitstream/icict/11870/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALliliane_seki_etal_IOC_2013.pdfapplication/pdf1272377https://www.arca.fiocruz.br/bitstream/icict/11870/2/liliane_seki_etal_IOC_2013.pdfa496a5ad5e1af4e35dbe2ecbc47ee4feMD52TEXTliliane_seki_etal_IOC_2013.pdf.txtliliane_seki_etal_IOC_2013.pdf.txtExtracted texttext/plain27802https://www.arca.fiocruz.br/bitstream/icict/11870/3/liliane_seki_etal_IOC_2013.pdf.txt111856116a3c06680d96a3bac4a4bf7bMD53icict/118702022-06-24 13:10:53.963oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-06-24T16:10:53Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
title Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
spellingShingle Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
Seki, Liliane Miyuki
Enterobacteriaceae
Bloodstream infection
CTX-M-15
PFGE
KPC
Brazil
Klebsiella pneumoniae
Enterobacteriaceae
Escherichia coli
title_short Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
title_full Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
title_fullStr Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
title_full_unstemmed Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
title_sort Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15
author Seki, Liliane Miyuki
author_facet Seki, Liliane Miyuki
Pereira, Polyana Silva
Conceição, Magda de Souza
Souza, Maria José
Marques, Elizabeth Andrade
Carballido, Jupira Miron
Carvalho, Maria Elisabeth Serqueira de
Assef, Ana Paula D’Alincourt Carvalho
Asensi, Marise Dutra
author_role author
author2 Pereira, Polyana Silva
Conceição, Magda de Souza
Souza, Maria José
Marques, Elizabeth Andrade
Carballido, Jupira Miron
Carvalho, Maria Elisabeth Serqueira de
Assef, Ana Paula D’Alincourt Carvalho
Asensi, Marise Dutra
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Seki, Liliane Miyuki
Pereira, Polyana Silva
Conceição, Magda de Souza
Souza, Maria José
Marques, Elizabeth Andrade
Carballido, Jupira Miron
Carvalho, Maria Elisabeth Serqueira de
Assef, Ana Paula D’Alincourt Carvalho
Asensi, Marise Dutra
dc.subject.en.pt_BR.fl_str_mv Enterobacteriaceae
Bloodstream infection
CTX-M-15
PFGE
KPC
Brazil
topic Enterobacteriaceae
Bloodstream infection
CTX-M-15
PFGE
KPC
Brazil
Klebsiella pneumoniae
Enterobacteriaceae
Escherichia coli
dc.subject.decs.pt_BR.fl_str_mv Klebsiella pneumoniae
Enterobacteriaceae
Escherichia coli
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2015-10-02T12:45:06Z
dc.date.available.fl_str_mv 2015-10-02T12:45:06Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SEKI, Liliane Miyuki; et al. Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15. The Brazilian Journal of Infectious Diseases, v.17, n.6, p.640-646, 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/11870
dc.identifier.issn.pt_BR.fl_str_mv 1413-8670
dc.identifier.doi.pt_BR.fl_str_mv 10.1016/j.bjid.2013.03.012
identifier_str_mv SEKI, Liliane Miyuki; et al. Molecular epidemiology of CTX-M producing Enterobacteriaceae isolated from bloodstream infections in Rio de Janeiro, Brazil: emergence of CTX-M-15. The Brazilian Journal of Infectious Diseases, v.17, n.6, p.640-646, 2013.
1413-8670
10.1016/j.bjid.2013.03.012
url https://www.arca.fiocruz.br/handle/icict/11870
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/11870/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/11870/2/liliane_seki_etal_IOC_2013.pdf
https://www.arca.fiocruz.br/bitstream/icict/11870/3/liliane_seki_etal_IOC_2013.pdf.txt
bitstream.checksum.fl_str_mv 7d48279ffeed55da8dfe2f8e81f3b81f
a496a5ad5e1af4e35dbe2ecbc47ee4fe
111856116a3c06680d96a3bac4a4bf7b
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1798325017036980224